| NPI | 1063992469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN03821) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA 2291004) |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2023-10-27 |